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De Quervain tenosynovitis

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Pain along the radial aspect of the wrist.

Patient Data

Age: 55 years
Gender: Male
mri

Abnormal intrasubstance increased fluid signal and thickening is present along the course of the first dorsal extensor compartment tendons of the wrist (abductor pollicis longus and extensor pollicis brevis).

Peritendinous fluid signal within the first dorsal compartment also is seen related to tenosynovitis.

Case Discussion

Middle-aged female presents with the non-traumatic onset of pain on the radial aspect of the wrist for the last few months.

Clinical presentation and imaging findings are suggestive for De Quervain tenosynovitis.

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